Siba Prasad Dash1, Subhabrata Das2, Jyoti Ranjan Mohapatra3, Rama Narayan Sahu4, Sulata Choudhary5, Subrath Das6
INTRODUCTION
Biliary tract diseases are usually the result of obstruction, infection or both. Obstruction can be extramural (e.g. pancreatic cancer), intramural (cholangiocarcinoma) or intraluminal (e.g. choledocholithiasis). Similar to other infections in other parts of the body, biliary infections are due to three factors; a susceptible host, sufficient inoculums and stasis. The most common symptoms related to biliary tract diseases are right upper quadrant pain, nausea, and vomiting, jaundice, palpable right upper quadrant mass, dyspeptic symptoms and pyrexia of unknown origin.
Ultrasonography is the initial investigation of any patient suspected of disease of biliary tract. It is a non-invasive and painless test which does not expose the patient to radiation and can be performed on critically ill patients.
PURPOSE
The purpose of the study is to evaluate the role of ultrasonography in terms of sensitivity, specificity and accuracy with operative and histopathological findings in the management of biliary tract diseases.
MATERIALS AND METHODS
This study was a prospective clinical study. The study consisted of 104 patients with suspected biliary tract diseases admitted to surgery wards of MKCG Medical College & Hospital from July-2014 to October 2015. After admission detailed clinical history was obtained from each case as per proforma. After that they were subjected to ultrasound after an overnight fast (6 to 8 hours) followed by surgery in appropriate cases.
RESULTS
In this study the sensitivity and specificity of ultrasonography to diagnose acute cholecystitis was 94% and 85% respectively. The sensitivity and specificity in case of chronic cholecystitis was 71% and 97% respectively. In case of others it was 94% and 97% respectively.
